Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN VANDERSAND
ActiveETHAN VANDERSAND is a Pharmacist healthcare provider located in JERSEYVILLE, Illinois. NPI 1316297088 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · JERSEYVILLE, IL
Registration Details
- NPI Number
- 1316297088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2012 (13.90172203361 yrs)
- Last Updated
- Sep 10, 2012
- License
-
051-289033 (IL)
Practice Information
- Address
-
400A W CARPENTER STJERSEYVILLE, IL, 620522522Browse IL providers · Browse ZIP 62052
- Phone
- 6184986461
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in JERSEYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MS. LYNN AHNELL CRAMMOND | R.PH. | 1679570428 |
| JENNIFER MARIE TIMPE | PHARM.D. | 1639452097 |
| DANIELLE KANALLAKAN | — | 1568746857 |
| MR. THOMAS G HONKE | R.PH. | 1942584230 |
| MR. STEVEN LEE MEREDITH | RPH | 1578163085 |
| DR. AMALIA KAY WOLFF | PHARMD | 1023618055 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.